Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Department of Nutrition and Dietetics, Institute of Health Sciences, Erciyes University, Kayseri, Turkey.
Endocrinol Diabetes Nutr (Engl Ed). 2022 Jun-Jul;69(6):426-432. doi: 10.1016/j.endien.2022.06.001.
This study aimed to investigate the association of diet quality (DQ) and dietary acid load (DAL) with insulin resistance (IR) in overweight children and adolescents.
The study was conducted on 135 overweight participants aged 6-17 years. DQ was assessed using the Healthy Eating Index 2015 (HEI-2015) and the HEI-2015-TUBER, revised in accordance with the Turkey Dietary Guidelines (TUBER). Estimation of DAL was made calculating the potential renal acid load (PRAL) and net endogenous acid production (NEAP) scores.
The HEI-2015-TUBER score was lower in those with IR than in those without IR (p=0.021). Higher PRAL and NEAP scores were found in those with IR (p=0.060 and p=0.044, respectively). Moreover, a one-unit increase in the HEI-2015-TUBER score and the DAL score was associated with a reduction of 4.2% and a rise of approximately 3% in IR risk, respectively.
Healthy eating habits in overweight paediatric groups may help to reduce the IR risk, improving DQ and decreasing DAL.
本研究旨在探讨超重儿童和青少年饮食质量（DQ）和饮食酸负荷（DAL）与胰岛素抵抗（IR）的关系。
该研究纳入了 135 名超重参与者，年龄为 6-17 岁。DQ 采用 2015 年健康饮食指数（HEI-2015）和根据土耳其饮食指南修订的 HEI-2015-土耳其（TUBER）进行评估。通过计算潜在肾酸负荷（PRAL）和净内源性酸产生（NEAP）评分来估计 DAL。
与无 IR 者相比，IR 者的 HEI-2015-TUBER 评分较低（p=0.021）。IR 者的 PRAL 和 NEAP 评分较高（p=0.060 和 p=0.044）。此外，HEI-2015-TUBER 评分和 DAL 评分每增加 1 个单位，IR 风险分别降低 4.2%和升高约 3%。
超重儿童和青少年群体的健康饮食习惯有助于降低 IR 风险，提高 DQ 并降低 DAL。
